Senate GOP leaders delay health care vote

In a bruising setback, Senate Republican leaders shelved a vote on their prized health care bill Tuesday until at least next month, forced to retreat by a GOP rebellion that left them lacking enough votes to even begin debate.

"We will not be on the bill this week," Senate Majority Leader Mitch McConnell, R-Ky., told reporters in what was a remarkable reversal of plans to push one of President Donald Trump's and the GOP's top priorities through the chamber this week.

"But we're still working toward getting at least 50 people in a comfortable place," he said. That's the number of GOP senators who must back the bill for it to survive, with all Democrats opposed.

"We're got a lot of discussions going on, and I'm still optimistic we're going to get there," he added.

Minutes earlier, McConnell divulged the decision to GOP senators at a private lunch also attended by Vice President Mike Pence and White House chief of staff Reince Priebus.

GOP senators planned to travel to the White House later Tuesday to meet with Trump.

McConnell had hoped to push the measure through his chamber before an Independence Day recess that party leaders fear will be used by foes of the legislation to tear away support.

The bill, which would roll back much of President Barack Obama's health care law, has been one of the party's top priorities for years, and the delay is a major embarrassment to Trump and McConnell. At least five GOP senators — conservatives and moderates—have said they would vote against even beginning debate, and the bill would be derailed if just three of the 52 Republican senators voted against it.

The Congressional Budget Office analysis suggested some ammunition GOP leaders could use, saying the Senate bill would cut federal deficits by $202 billion more over the coming decade than the version the House approved in May. Senate leaders could use some of those additional savings to attract moderate votes by making Medicaid and other provisions more generous, though conservatives would rather use that money to reduce government red ink.

Minutes after the CBO report's release, three GOP senators threatened to oppose beginning debate. Moderate Sen. Susan Collins, R-Maine, said she would vote no. She tweeted that she favors a bipartisan effort to fix Obama's statute but added, "CBO analysis shows Senate bill won't do it."

Conservative Sen. Rand Paul, R-Ky., said he would oppose the motion to open debate unless the bill was changed.

And fellow conservative Ron Johnson, R-Wis., said he had "a hard time believing" he'd have enough information to back that motion this week. Moderate Sen. Dean Heller, R-Nev., said Friday he'd oppose the procedural motion without alterations.

Lee and other conservatives have favored a fuller repeal of Obama's statute than the Senate bill would enact.

The 22 million extra uninsured Americans were just 1 million fewer than the number the budget office estimated would become uninsured under the House version. Trump has called the House bill "mean" and prodded senators to produce a package with more "heart."

The budget office report said the Senate bill's coverage losses would especially affect people between ages 50 and 64, before they qualify for Medicare, and with incomes below 200% of the poverty level, or around $30,300 for an individual.

The Senate plan would end the tax penalty the law imposes on people who don't buy insurance, in effect erasing Obama's so-called individual mandate, and on larger businesses that don't offer coverage to workers.

It would let states ease Obama's requirements that insurers cover certain specified services like substance abuse treatments. It also would eliminate $700 billion worth of taxes over a decade, largely on wealthier people and medical companies—money that Obama's law used to expand coverage.

It would cut Medicaid, which provides health insurance to over 70 million poor and disabled people, by $772 billion through 2026 by capping its overall spending and phasing out Obama's expansion of the program. Of the 22 million people losing health coverage, 15 million would be Medicaid recipients.

CBO said that average premiums around the country would be higher over the next two years—including about 20% higher in 2018 than under Obama's statute—but lower beginning in 2020.

The office said that overall, the Senate legislation would increase consumers' out of pocket costs. That's because standard policies would be skimpier than currently offered under Obama's law, covering a smaller share of expected medical costs.

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